Individual
KIZZY ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1122 S UNIVERSITY AVE, LITTLE ROCK, AR 72204-1559
(501) 660-4470
Mailing address
1709 PRINCETON DR, LITTLE ROCK, AR 72204-2816
(501) 664-4223
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD12433
AR
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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